Jason L Gerboc, DO | |
1210 Waterman Way, Tavares, FL 32778-5229 | |
(352) 343-2364 | |
(352) 343-0548 |
Full Name | Jason L Gerboc |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 22 Years |
Location | 1210 Waterman Way, Tavares, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548374325 | NPI | - | NPPES |
2392880000 | Other | PA | KEYSTONE IBC |
P00226465 | Other | PA | RAILROAD MEDICARE |
101228162 0002 | Medicaid | PA | |
P01092454 | Other | PA | RAILROAD MEDICARE |
1012281620001 | Medicaid | PA | |
1724365 | Other | PA | HIGHMARK BLUE SHIELD |
8460478 | Other | PA | AETNA HMO |
1724365 | Other | PA | PERSONAL CHOICE |
8460478 | Other | PA | AETNA NON HMO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | OS012897 (Pennsylvania) | Secondary |
208800000X | Urology | OS12668 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventhealth Waterman | Tavares, FL | Hospital |
Adventhealth Orlando | Orlando, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Florida Hospital Healthcare Partners, Inc | 7012266836 | 269 |
Entity Name | Florida Hospital Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
Entity Name | Florida Hospital Healthcare Partners, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780100529 PECOS PAC ID: 7012266836 Enrollment ID: O20180831000335 |
Mailing Address | Practice Location Address |
---|---|
Jason L Gerboc, DO 1210 Waterman Way, Tavares, FL 32778-5229 Ph: (352) 343-2364 | Jason L Gerboc, DO 1210 Waterman Way, Tavares, FL 32778-5229 Ph: (352) 343-2364 |
Dr. Michael Warren Fountain, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 1210 Waterman Way, Tavares, FL 32778 Phone: 352-343-2364 Fax: 352-253-0022 | |
Randolph Gray Hunter, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1934 Salk Ave, Tavares, FL 32778 Phone: 352-742-2201 | |
Dr. Allison Beth Boemer, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1210 Waterman Way, Tavares, FL 32778 Phone: 352-343-2364 Fax: 352-253-0022 |